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Edukasi Media Leaflet Secara Hybrid dapat Meningkatkan Pengetahuan Pencegahan Komplikasi Ulkus Diabetik: Hybrid Media Leaflet Education Can Enhance Knowledge of The Prevention of Complications from Diabetic Ulcers Majid, Abdul; Ekwantini, Rosa Delima; Suryani, Isti; Sarwo Prayogi, Agus; Laasara, Nurun
Jurnal Pengabdian Kepada Masyarakat: Kesehatan Vol. 4 No. 4 (2024): Desember
Publisher : Sekolah Tinggi Ilmu Kesehatan Notokusumo Yogyakarta

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Abstract

Abstrak: Diabetes mellitus merupakan penyakit kronis yang disebabkan oleh genetik dan atau kekurangan produksi insulin oleh pankreas, atau oleh tidak efektifnya insulin yang diproduksi. DM banyak menimbulkan komplikasi kardiovaskular, sistem syaraf, ginjal dan mengalami infeksi lainnya. Pengetahuan penyandang DM sebagian besar cukup. Kegiatan ditujukan untuk meningkatkan pengetahuan dalam pencegahan komplikasi ulkus diabetik pada penyandang DM Tipe 2 di Wilayah Puskesmas Gamping II Sleman. Edukasi menggunakan media leaflet yang dilakukan secara hybrid secara luring maupun daring pada kelompok penyandang DM tipe 2 di Puskesmas Gamping 2 Sleman sebanyak 63 responden. Pengetahuan responden sebelum diberikan edukasi melalui leaflet dan e-leaflet sebagian besar berpengetahuan sedang yaitu 28 orang (44,44%). Setelah diberikan edukasi pengetahuan penyandang DM mayoritas berpengetahuan baik yaitu 48 orang (76,19%). Hasil uji statistik nilai p=0,000, artinya terdapat perbedaan yang signifikan tingkat pengetahuan penyandang DM di wilayah Puskesmas Gampng II, sebelum dan sesudah diberikan edukasi dengan menggunakan leaflet dan e-leaflet. Media edukasi dengan media leaflet secara daring dan luring dapat meningkatkan pengetahuan dalam pencegahan komplikasi ulkus diabetik pada penyandang Diabetes Melitus Tipe 2 di Wilayah Puskesmas Gamping II Sleman.   Abstract: Diabetes mellitus is a chronic disease caused by genetic and/or insufficient production of insulin by the pancreas or by ineffective insulin production. DM causes many cardiovascular complications, including nervous system, kidneys, and other infections. The knowledge of the DM is mostly sufficient. Event to increase knowledge in the prevention of complications of diabetic ulcers in patients with type 2 DM in the Puskesmas Gamping II Sleman. Education using a media leaflet that is performed hybridly, either online or with a group of people with type 2 DM in Puskesmas Gamping II Sleman, as many as 63 respondents. Patients with type 2 diabetes mellitus knowledge before given education through leaflets and e-leaflets is mostly knowledgeable; the average is 28 people (44.44%). After being given education, well-known majority is 48 people (76.19%). p = 0.000, which means that there is a significant difference in the level of knowledge of the DM in the Puskesmas Gampng II before and after giving education using leaflets and e-leaflets. Educational media with online and offline media can enhance knowledge in the prevention of complications of diabetic ulcers in patients with type 2 diabetes mellitus in the Puskesmas of Gamping II Sleman.
Standardized Nutrition Care Process for Critically Ill Patients with Traumatic Brain Injury, Pulmonary Contusion, and Alcohol Intoxication Setyaji, Diyan Yunanto; Suryani, Isti; Lestari, Nugraheni Tri; Iskandar, Slamet; Mayasari, Meike
Journal of Global Nutrition Vol 5 No 2 (2025)
Publisher : Ikatan Sarjana Gizi Indonesia (ISAGI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53823/jgn.v5i2.113

Abstract

Disturbed intake factors, hypermetabolism and hypercatabolism in critical patients cause increased energy needs. Critical patients are very susceptible to nutritional deficiencies resulting in decreased immune systems, poor wound healing, and organ failure that prolongs hospitalization and increases mortality. In these circumstances, nutrition becomes an important part of clinical medical therapy. This study was conducted to implement nutritional services and standardized nutritional care processes in patients with a medical diagnosis of Decreased Consciousness e.c. Severe Head Injury e.c. Traumatic Intracerebral Haemorrhage (TICH), Traumatic Subarachnoid Haemorrhage (TSAH), Intraventricular Haemorrhage (IVH), Pulmonary Contusion, Right Antebrachial Trauma, Close Fracture Ulna 1/3 Distal Right, Alcohol Intoxication, Brainstem Contusion in the Gatotkaca Ward 4 MICU Dr. Sardjito General Hospital. This study uses a descriptive qualitative research design with a case study design. This study used primary and secondary data with data presentation in narrative, tabular, and graphical form. Based on NRS 2002 screening, the patient was at risk of malnutrition. The food intake graph for six days with a high energy and protein diet in the form of enteral per NGT or parenteral diet showed fluctuations in intake from 8.30% on the first day to 33.78% on the sixth day. Acceptance of the NGT diet decreased since the third day as indicated by low absorption and gastric residue. The results of the blood gas analysis showed that the patient had respiratory acidosis. It can be concluded that the standardized nutritional care process and collaboration between health professionals that are carried out optimally and intensively cannot always provide a good prognosis in cases of severe head injury with various complications such as alcohol intoxication, pulmonary contusion, and brainstem contusion.
Enhancing nutritional literacy and improving dietary patterns in obese adolescents through e-booklets Bektiningrum, Afifah; Sitasari, Almira; Rialihanto, Muhammad Primiaji; Nurhidayat, Nurhidayat; Waluyo, Waluyo; Suryani, Isti; Azizan, Nurul Ain; Siswati, Tri
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 13 ISSUE 6, 2025
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2025.13(6).433-443

Abstract

ABSTRAKLatar Belakang: Obesitas merupakan masalah kesehatan masyarakat dengan peningkatan prevalensi di semua kelompok usia di dunia. Salah satu faktor yang berkontribusi terhadap obesitas pada remaja adalah rendahnya literasi gizi dan pola makan yang tidak sehat. Tujuan: untuk mengetahui dampak intervensi edukasi dengan media e-booklet terhadap pengetahuan dan asupan makanan. Metode: single group pre-posttest intervention pada remaja di SMA di Kabupaten Kulon Progo, Yogyakarta, Indonesia. Sampel ditentukan dengan kriteria inklusi siswa SMAN 1 Sentolo, kelas X dan XI, bersedia menjadi responden, hadir saat pengumpulan data dan mempunyai skor IMT/U > 1 SD, sehingga berjumlah 46 orang. Intervensi edukasi diberikan dengan media e-booklet melalui grup WhatsApp sedangkan data pengetahuan dan asupan makanan diobservasi pada saat pre-test, posttest-1 dan posttest-2. Data pengetahuan dikumpulkan dengan kuesioner dan data asupan makanan dikumpulkan dengan food recall 2 x 24 jam lalu dianalisis dengan t-test dan Wilcoxon.Hasil: Skor pengetahuan siswa pre, posttest-1 dan posttest-2 masing-masing adalah 56,3; 94,5; dan 98,5. Terdapat perbedaan pengetahuan yang signifikan baik pada posttest-1 maupun posttest-2. Tingkat asupan energi, protein, karbohidrat dan lemak pada pengukuran pre, posttest-1 dan posttest-2. Asupan energi menurun dari 126%, 110% dan 91%; asupan protein menurun dari 163%, 156% dan 106%; asupan lemak menurun dari 153%, 137% dan 106%; asupan karbohidrat menurun dari 100%, 91%, 76%. Hasil analisis menyatakan ada perbaikan asupan yang signifikan baik pada posttest-1 maupun posttest-2 kecuali asupan karbohidrat pada posttest-1. Kesimpulan: Edukasi gizi dengan media e-booklet berdampak pada peningkatan pengetahuan tentang obesitas dan memperbaiki asupan makanan pada remaja yang mengalami overweight dan obesitas.  KATA KUNCI: asupan;edukasi; e-booklet; pengetahuan; protein; remaja.  ABSTRACTBackground: Obesity is a public health problem with increasing prevalence in all age groups in the world. One of the factors that contribute to obesity in adolescents is low nutritional literacy and unhealthy diets.Objective: To determine the impact of educational interventions with e-booklet to knowledge and  food intakeMethod: A single group pre-posttest intervention study was conducted on adolescents in senior high school Sentolo 1 (SMAN 1 Sentolo), Kulon Progo, Yogyakarta, Indonesia. The sample was chosen by criteria for grades X and XI, willing to be responders, present during data collection, and had BMI-for-age-score >1 SD, as many as 46 participants included this study. Educational interventions were provided with e-booklet was shared through WhatsApp groups, while knowledge and food intake were observed during the pre-test, post-test 1, and post-test 2. Knowledge was collected by questionnaire, and food intake was collected by food recall 2x24 hours. We apply t-test and Wilcoxon to analyze the data. Results: The knowledge scores significantly improved from 56.3 (pre-test) to 94.5 (post-test 1) and 98.5 (post-test 2) (p< 0.05). Significant reductions were observed in energy, protein, carbohydrate, and fat intake between pre-test, post-test 1, and post-test 2, demonstrating the intervention's effectiveness in improving dietary habits among adolescents.Conclusion: Nutrition education using e-booklet has an impact on increasing knowledge about obesity and improving food intake in adolescents who are overweight and obese. KEYWORDS: adolescent; education; e-booklet; intake; knowledge; protein. Article submitted on January 19, 2025; Articles revised on February 17, 2025; Articles received on July 25, 2025; Articles available online on November 28, 2025